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  1. Understanding and Improving Diagnostic Safety in Ambulatory Care. | PSNet

    psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
    August 17, 2022 - Grant Announcement Understanding and Improving Diagnostic Safety in Ambulatory Care. Citation Text: Understanding and Improving Diagnostic Safety in Ambulatory Care. Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023. Copy Citation Save S…

  2. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

  3. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

    psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
    September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

  4. Improving Diagnostic Quality and Safety Final Report. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
    September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety Final Report. Citation Text: Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017. Copy Citation Save Save to your lib…

  5. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  6. Samore, Matthew | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/samore-matthew
    January 01, 2023 - Samore, Matthew Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users. Citation Butl…

  7. Awareness and use of a cognitive aid for anesthesiology. | PSNet

    psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
    January 05, 2017 - Study Awareness and use of a cognitive aid for anesthesiology. Citation Text: Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11. Copy Citation Format: Google Scholar PubMed BibTeX En…

  8. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

  9. Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
    March 14, 2022 - Commentary Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. Citation Text: Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.71…

  10. Surveys on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture
    December 24, 2008 - Measurement Tool/Indicator Classic Surveys on Patient Safety Culture. Citation Text: Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Downl…

  11. Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet

    psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
    June 15, 2022 - Special or Theme Issue Improving Usability, Safety and Patient Outcomes With Health Information Technology. Citation Text: Improving Usability, Safety and Patient Outcomes With Health Information Technology. Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257…

  12. Disclosing harmful medical errors to patients: tackling three tough cases. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
    December 19, 2018 - Commentary Disclosing harmful medical errors to patients: tackling three tough cases. Citation Text: Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. Copy Citation …

  13. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. | PSNet

    psnet.ahrq.gov/issue/unleash-power-patients-make-care-safer-around-world-essay-helen-haskell
    January 08, 2020 - Commentary Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. Citation Text: Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565. Copy Citation …

  14. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
    December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

  15. Barriers to nurses' reporting of medication administration errors in Taiwan. | PSNet

    psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
    May 01, 2006 - Study Barriers to nurses' reporting of medication administration errors in Taiwan. Citation Text: Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. Copy…

  16. Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. | PSNet

    psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
    October 06, 2016 - Government Resource Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Citation Text: Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…

  17. Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
    November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Citation Text: Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Oakbrook Terrace, IL: The Joint Commission; November 2008. Copy Citation …

  18. Improving patient safety by taking systems seriously. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
    April 17, 2013 - Commentary Improving patient safety by taking systems seriously. Citation Text: Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  19. 'Cyberloafing' in health care: a real risk to patient safety. | PSNet

    psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
    June 19, 2024 - Commentary 'Cyberloafing' in health care: a real risk to patient safety. Citation Text: Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-562. doi:10.1016/j.jopan.2018.05.003. Copy Citation Format: DOI Google Scholar Pub…

  20. Error traps in acute pain management in children. | PSNet

    psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
    August 24, 2022 - Commentary Error traps in acute pain management in children. Citation Text: Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. Copy Citation Format: DOI Google Scholar BibTeX En…
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